MEDICARE: MRS. ALEXANDRA BEATRIZ CHAMORRO NBCHWC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1366243131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXANDRA BEATRIZ CHAMORRO NBCHWC

Provider Business Mailing Address
First Line	:	7801 NW 37TH ST STE SAL 5593
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33195-6503
Country	:	US
Telephone Number	:	305-497-8825
Fax Number	:

Provider Business Practice Location Address
First Line	:	1945 BROADWAY APT 502
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-2214
Country	:	US
Telephone Number	:	305-497-8825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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